The Effects of Non-pharmacological Program to Manage and Prevent Acute Delirium in Critically Ill Surgical Patients

Authors

  • Sawalee Luenapa Faculty of Medicine, Ramathibodi Hospital, Mahidol University
  • Phunsuk Hiransai Faculty of Medicine, Ramathibodi Hospital, Mahidol University
  • Teepatad Chintapanyakun Faculty of Medicine, Ramathibodi Hospital, Mahidol University
  • Siwaphan Yutthasaen Faculty of Medicine, Ramathibodi Hospital, Mahidol University
  • Supaporn Thongpan Faculty of Medicine, Ramathibodi Hospital, Mahidol University
  • Juraiporn Manma Faculty of Medicine, Ramathibodi Hospital, Mahidol University
  • Wipavee Teerananukul Faculty of Medicine, Ramathibodi Hospital, Mahidol University

Keywords:

acute delirium, non-pharmacological management, critically ill surgical patients

Abstract

This quasi-experimental research aimed to study the effects of non-pharmacological management and prevention program for acute delirium in postoperative critically ill patients. The participants were adult patients aged over 18 years old and admitted to two surgical intensive care units (3IC and SDICU 51), Faculty of Medicine Ramathibodi Hospital, Mahidol University. Data were collected from 100 postoperative critically ill patients. Fifty of the participants in the experimental group received non-pharmacological management and prevention program, while another 50 of the participants in the control group received usual care. The research instruments were the non-pharmacological management and prevention program for acute delirium and the Richmond agitation sedation scale assessment. Data were analyzed using descriptive and Chi-squares statistics. The results revealed that the program of non-pharmacological management and prevention for acute delirium had reduced the incidence of acute delirium at the significant level of .05 (p = .028) and incidence of unplanned extubation at the significant level of .05 (p = .041).

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Author Biographies

Sawalee Luenapa , Faculty of Medicine, Ramathibodi Hospital, Mahidol University

 

 

 

Phunsuk Hiransai, Faculty of Medicine, Ramathibodi Hospital, Mahidol University

 

 

 

Teepatad Chintapanyakun, Faculty of Medicine, Ramathibodi Hospital, Mahidol University

 

 

 

Siwaphan Yutthasaen, Faculty of Medicine, Ramathibodi Hospital, Mahidol University

 

 

Supaporn Thongpan, Faculty of Medicine, Ramathibodi Hospital, Mahidol University

 

 

Juraiporn Manma , Faculty of Medicine, Ramathibodi Hospital, Mahidol University

 

 

Wipavee Teerananukul, Faculty of Medicine, Ramathibodi Hospital, Mahidol University

 

 

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Published

02-01-2023

How to Cite

1.
Luenapa S, Hiransai P, Chintapanyakun T, Yutthasaen S, Thongpan S, Manma J, Teerananukul W. The Effects of Non-pharmacological Program to Manage and Prevent Acute Delirium in Critically Ill Surgical Patients. J Royal Thai Army Nurses [Internet]. 2023 Jan. 2 [cited 2024 Dec. 19];23(3):305-13. Available from: https://he01.tci-thaijo.org/index.php/JRTAN/article/view/258441

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Section

Research Articles